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UNITED STATES POSTAL SERVICE Postage® Paid <br />USPS 0 <br />J r i <br />re Sender: Please print your name, address, and ZI [I f i Z�2aletY <br />mat on, <br />Mining & <br />STATE OF COLORADO <br />DEPARTMENT OF NATURAL RESOURCES <br />DIVISION OF RECLAMATION, MINING & SAFETY <br />1313 SHER T, SUITE 215 <br />DENVER, COW43 01981-035 <br />��N � 5 'li�001 <br />�?��� DI gHH <br />ivision 0i Redaa ,. <br />Notice of Proposed <br />�MOUSt of Civil Pena y <br />�'-ii;''!'�i� Il�lili'il�iili►ifiiii'�"' .,:�� ..:. _ .. <br />■ Complete items 1, 2, and 3. Also complete <br />item 4 if Restricted Delivery is desired. <br />■ Print your name and address on the reverse <br />so that we can return the card to you. <br />■ Attach this card to the back of the mailpiece, <br />or on the front if space permits. <br />I. Article Addressed to: <br />GCC Energy, LLC <br />6473 Co. Rd. 120 <br />Hesperus, CO 81326-9633 <br />A. Signature <br />X I -Agent <br />❑ Addressee <br />B. Received by (Printed Name) C. Dat of Delivery <br />S 7' M ILLS G (4) <br />D. Is delivery address different from item 1? Yes <br />If YES, enter delivery address below: ❑ No <br />3. Service Type <br />❑ Certified Mair ❑ Priority Mail Express" <br />❑ Registered ❑ Return Receipt for Merchandise <br />❑ Insured Mail ❑ Collect on Delivery <br />4. Restricted Delivery? (Extra Fee) n V— <br />Numb <br />[. (Transfer <br />r from 7010 1060 0001 0936 0734 <br />(Transfer from service label) <br />PS Form 3811, July 2013 Domestic Return Receipt <br />